Wanda Long

NPI #1417554916 in Englewood, Ohio

Provider Information

NPI Number: 1417554916
Entity Type: Individual
Name: Wanda Long
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Homemaker
Enumeration Date: Oct 7, 2020
Last Updated: Oct 7, 2020

Practice Location

Address: 6849 PACKINGHAM DR
City: Englewood
State: Ohio
ZIP Code: 45322-3710
Phone: (937) 604-9926

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Homemaker	376J00000X	Primary

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